Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $2,399.00 / $7,235.00	Facility		$76.04	$2,399.00	$7,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $106.74 / $183.49	Professional		$58.74	$106.74	$183.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $107.55 / $239.60	Professional		$84.68	$107.55	$239.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.53 / $72.53 / $4,050.00	Facility		$72.53	$72.53	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $72.53 / $137.46	Professional		$72.53	$72.53	$137.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $88.80 / $3,479.91	Facility		$88.80	$88.80	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $125.71 / $341.78	Professional		$61.02	$125.71	$341.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $68.38 / $332.00	Facility		$35.00	$68.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $131.34 / $196.56	Professional		$112.56	$131.34	$196.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $142.22 / $195.71	Professional		$79.30	$142.22	$195.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $316.58 / $1,963.39	Facility		$248.10	$316.58	$1,963.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $555.00 / $3,479.91	Facility		$88.80	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $139.32 / $341.71	Professional		$63.68	$139.32	$341.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $113.23 / $311.30	Professional		$81.09	$113.23	$311.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $66.67 / $219.51	Facility		$66.67	$66.67	$219.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $142.22 / $195.71	Professional		$79.30	$142.22	$195.71